Organization
CHARLES L. HEATON , M.D. P.A.
Active
Other names
HEATON EYE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH C HODGES-ODOM (CREDENTIALING SPECIALIST)
(903) 526-0444
Entity
Organization
Contact information
Practice address
3355 EARL CAMPBELL PKWY, TYLER, TX 75701-8435
(903) 526-0444
(903) 595-6650
Mailing address
3355 EARL CAMPBELL PKWY, TYLER, TX 75701-8435
(903) 526-0444
(903) 595-6650
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
12/08/2006
Last updated
08/27/2025
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